| NPI | 1902017502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD22424) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60024615) |
| 207L00000X Anesthesiology (Licence: CA A93019) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-07-26 |